Yalamanchi, Bose

Yalamanchi, Bose is an individual health care provider with primary practice located at 1134 Wiles Rd , Coral Springs FL 33076-2114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Yalamanchi, Bose can be contacted via phone (954) 344-4555.

Contact Information

Primary practice address
1134 Wiles Rd Coral Springs FL 33076-2114
Phone: (954) 344-4555
Fax: (954) 840-8254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME0040693 Florida

Profile Details

NPI number 1194700476
LBN Legal business name Yalamanchi, Bose
Credentials MD PA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194700476 NPPES
Florida Other 592420003 TAX ID
Florida MEDICAID 049469100 TAX ID

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